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NPI Code Detail

MEDICARE: BAILEY KATHLEEN CAUDILL PHARMD

MEDICARE: BAILEY KATHLEEN CAUDILL PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist44140TN

General Provider Information

NPI Number : 1316557895
Entity Type Code : Individual
Provider Name (Legal Business Name) : BAILEY KATHLEEN CAUDILL PHARMD
Provider Business Mailing Address
First Line : 5133 RYAN ALLEN CIR
Second Line :
City : WHITES CREEK
State : TN
Zip : 37189-5200
Country : US
Telephone Number : 859-954-0709
Fax Number :
Provider Business Practice Location Address
First Line : 7604 HWY 70 S
Second Line :
City : NASHVILLE
State : TN
Zip : 37221-1852
Country : US
Telephone Number : 615-646-7310
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2020
Last Update Date : 08/09/2020

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